军人在汶川地震中功能性胃肠病发病的调查及相关因素
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摘要
目的:分析汶川地震中抗震军人的功能性胃肠病(functional gastrointestinal disease,FGID)发病情况及相关因素.方法:采用整群随机抽样方法,对抗震部队进行问卷调查,按照罗马Ⅲ标准诊断FGID,并根据睡眠调查情况,分析相关因素.结果:903名抗震军人中,诊断为FGID的387例(42.86%).其中,诊断为功能性食管疾病的42例(4.65%);诊断为功能性胃十二指肠病的79例(8.75%);诊断为功能性肠道疾病的94例(10.41%);诊断为功能性腹痛综合征的84例(9.31%);诊断为胆囊和Oddi括约肌功能障碍27例(2.99%);诊断为功能性肛门直肠痛61例(6.76%).FGID军人震前睡眠时间>6h/d的占95.28%,震后睡眠时间>6h/d的占75.62%.FGID军人在睡眠潜伏期延长、睡眠维持障碍、睡眠质量下降、因睡眠不足而白天感到不适等方面均有显著差异(P<0.01).抗震中,分工不同的军人,FGID患病率各不相同,一线抗震官兵的患病率为59.47%,明显高于其他抗震人员.结论:汶川地震后抗震军人的FGID发病率较高,其中一线部队的患病率显著增高.震后FGID的发生与睡眠状况变差有关.
AIM:To analyze the incidence and risk factors of functional gastrointestinal disease (FGID) in soldiers in the area affected by the Wenchuan earthquake. METHODS:Using random sampling method,a questionnaire survey was performed in soldiers in the area affected by the Wenchuan earthquake. FGID was diagnosed according to the Rome III criteria. Sleep investigation was performed to analyze the risk factors for FGID. RESULTS:Of 903 soldiers surveyed,387 (42.86%) were diagnosed with FGID; 42 (4.65%) had functional esophageal disease,79 (8.75%) had functional gastroduodenal disease,94 (10.41%) had functional enteric disease,84 (9.30%) had functional abdominal pain syn-drome,27 (2.99%) had gallbladder dysfunction or oddis sphincter dysfunction,61 (6.76%) had functional proctalgia or rectalgia. Of all FGID soldiers,95.28% had sleep duration > 6 h/d before the earthquake,and only 75.62% had such sleep duration after the earthquake. Significant differences were noted in sleep latency,sleep maintenance,sleep quality,and daytime discomfort between soldiers with and without FGID (all P < 0.01). The incidence of FGID was signifi cantly higher in first-line soldiers than in other ones. CONCLUSION:There is a relatively high incidence of FGID in soldiers in the area affected by the Wenchuan earthquake. The incidence of FGID is significantly higher in first-line soldiers than in other ones. The incidence of post-earthquake FGID is related to sleep alterations.
AIM:To analyze the incidence and risk factors of functional gastrointestinal disease (FGID) in soldiers in the area affected by the Wenchuan earthquake. METHODS:Using random sampling method,a questionnaire survey was performed in soldiers in the area affected by the Wenchuan earthquake. FGID was diagnosed according to the Rome III criteria. Sleep investigation was performed to analyze the risk factors for FGID. RESULTS:Of 903 soldiers surveyed,387 (42.86%) were diagnosed with FGID; 42 (4.65%) had functional esophageal disease,79 (8.75%) had functional gastroduodenal disease,94 (10.41%) had functional enteric disease,84 (9.30%) had functional abdominal pain syn-drome,27 (2.99%) had gallbladder dysfunction or oddis sphincter dysfunction,61 (6.76%) had functional proctalgia or rectalgia. Of all FGID soldiers,95.28% had sleep duration > 6 h/d before the earthquake,and only 75.62% had such sleep duration after the earthquake. Significant differences were noted in sleep latency,sleep maintenance,sleep quality,and daytime discomfort between soldiers with and without FGID (all P < 0.01). The incidence of FGID was signifi cantly higher in first-line soldiers than in other ones. CONCLUSION:There is a relatively high incidence of FGID in soldiers in the area affected by the Wenchuan earthquake. The incidence of FGID is significantly higher in first-line soldiers than in other ones. The incidence of post-earthquake FGID is related to sleep alterations.
引文
1Vege SS,Locke GR3rd,Weaver AL,Farmer SA,Melton LJ3rd,Talley NJ.Functional gastrointestinal disorders among people with sleep disturbances:a population-based study.Mayo Clin Proc2004;79:1501-1506
2姚欣,杨云生.从罗马Ⅱ到罗马Ⅲ-功能性胃肠病分类和诊断的变迁.临床军医杂志2007;35:760-762
3罗马委员会.功能性胃肠病的罗马Ⅲ诊断标准.现代消化及介入诊疗2007;12:137-140
4Locke GR3rd.The epidemiology of functional gastrointestinal disorders in North America.Gastroenterol Clin North Am1996;25:1-19
5平丽,李瑜元,聂玉强,苏华.体检人群中功能性胃肠病的患病情况调查.中华消化杂志2002;22:190-192
6宗春华,周惠清,李定国.全国城市中、小学生功能性消化不良现况调查.中华消化杂志2008;28:230-232
7韩聚强,李恕军,冯军,杨永红,夏卫红,马亚群,赵京,孙天胜.震后灾区居民胃肠道应激症状现况调查.中国健康教育2009;25:278-282
8Locke GR3rd,Weaver AL,Melton LJ3rd,Talley NJ.Psychosocial factors are linked to functional gastrointestinal disorders:a population based nested case-control study.Am J Gastroenterol2004;99:350-357
9何剑琴,王伟岸,胡品津,陈为.肠易激综合征患者睡眠质量特征.世界华人消化杂志2004;12:744-747
10Jarrett M,Heitkemper M,Cain KC,Burr RL,Hertig V.Sleep disturbance influences gastrointestinal symptoms in women with irritable bowel syndrome.Dig Dis Sci2000;45:952-959
11Mazure CM,Maciejewski PK,Jacobs SC,Bruce ML.Stressful life events interacting with cognitive/personality styles to predict late-onset major depression.Am J Geriatr Psychiatry2002;10:297-304
12Keefer L,Stepanski EJ,Ranjbaran Z,Benson LM,Keshavarzian A.An initial report of sleep disturbance in inactive in?ammatory bowel disease.J Clin Sleep Med2006;2:409-416
13Chen CL,Lin HH.Gastric dysrhythmias and transient sleep impairment in healthy subjects.Dig Dis Sci2004;49:176-179
14韩聚强,杨永红,冯军.“5.12汶川大地震”灾后抗震救灾部队官兵健康状况调查研究.现代预防医学2009;36:903-907
15韩聚强,冯军,孙天胜.部队官兵应对突发性灾难事件机体应激性疾病的预防.中国健康教育2009;25:392-393
2姚欣,杨云生.从罗马Ⅱ到罗马Ⅲ-功能性胃肠病分类和诊断的变迁.临床军医杂志2007;35:760-762
3罗马委员会.功能性胃肠病的罗马Ⅲ诊断标准.现代消化及介入诊疗2007;12:137-140
4Locke GR3rd.The epidemiology of functional gastrointestinal disorders in North America.Gastroenterol Clin North Am1996;25:1-19
5平丽,李瑜元,聂玉强,苏华.体检人群中功能性胃肠病的患病情况调查.中华消化杂志2002;22:190-192
6宗春华,周惠清,李定国.全国城市中、小学生功能性消化不良现况调查.中华消化杂志2008;28:230-232
7韩聚强,李恕军,冯军,杨永红,夏卫红,马亚群,赵京,孙天胜.震后灾区居民胃肠道应激症状现况调查.中国健康教育2009;25:278-282
8Locke GR3rd,Weaver AL,Melton LJ3rd,Talley NJ.Psychosocial factors are linked to functional gastrointestinal disorders:a population based nested case-control study.Am J Gastroenterol2004;99:350-357
9何剑琴,王伟岸,胡品津,陈为.肠易激综合征患者睡眠质量特征.世界华人消化杂志2004;12:744-747
10Jarrett M,Heitkemper M,Cain KC,Burr RL,Hertig V.Sleep disturbance influences gastrointestinal symptoms in women with irritable bowel syndrome.Dig Dis Sci2000;45:952-959
11Mazure CM,Maciejewski PK,Jacobs SC,Bruce ML.Stressful life events interacting with cognitive/personality styles to predict late-onset major depression.Am J Geriatr Psychiatry2002;10:297-304
12Keefer L,Stepanski EJ,Ranjbaran Z,Benson LM,Keshavarzian A.An initial report of sleep disturbance in inactive in?ammatory bowel disease.J Clin Sleep Med2006;2:409-416
13Chen CL,Lin HH.Gastric dysrhythmias and transient sleep impairment in healthy subjects.Dig Dis Sci2004;49:176-179
14韩聚强,杨永红,冯军.“5.12汶川大地震”灾后抗震救灾部队官兵健康状况调查研究.现代预防医学2009;36:903-907
15韩聚强,冯军,孙天胜.部队官兵应对突发性灾难事件机体应激性疾病的预防.中国健康教育2009;25:392-393
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